| NPI | 1326248543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGALA BORDERS-ROBINSON Owner 989-723-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101011356) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-11-09 |